Michael Stablein DDS, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

021002179 Issued in IL

Legal business name

MICHAEL STABLEIN DDS, P.C.

Practice address

5530 W Montrose Ave
Chicago, IL 60641-1330

Phone

(773) 282-8800

NPI assigned

Nov 9, 2012

Last updated

Nov 9, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Caroline Scholtz, D.D.S., M.S.NPI 1255458394

Title

Owner

Phone

(773) 282-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CScholtzDDSMStableinDDSandAssociates Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Scholtz, D.D.S., M.S.

  • Pediatric Dentistry
  • Lincolnshire, IL
  • NPI 1255458394
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1750625984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411330",
            "telephone_number": "773-282-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411330",
            "telephone_number": "773-282-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STABLEIN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SCHOLTZ",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-282-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "021002179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "021002179",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CScholtzDDSMStableinDDSandAssociates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Reese Hospital
• Michael Reese Hospital & Medical Center
• Michael Reese Medical Center Corp
• Michael Reese Medical Center Corp
• Michael Reese Medical Center Corp (Micheal Reese Hospital and Medical Center)
• Michael Subtelny DMD, PLLC
• Michael V. Guadiz MPT, D.D.S. PC
• Michael Venice, D.N.
• Michael Vernon, LCSW LLC
• Michael W Glavin LMFT & Associates LLC (Center for Relational Transformation)

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.